| Bellevue Autism Center | |
|
8115 226th St Sw Edmonds WA 98026-8267 | |
| (646) 598-7765 | |
| Not Available |
| Full Name | Bellevue Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8115 226th St Sw, Edmonds, Washington |
| Authorized Official Name and Position | Vladimir Kogan (OWNER) |
| Authorized Official Contact | 6465987765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Autism Center 8115 226th St Sw Edmonds WA 98026-8267 Ph: (646) 598-7765 | Bellevue Autism Center 8115 226th St Sw Edmonds WA 98026-8267 Ph: (646) 598-7765 |
| NPI Number | 1649992389 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649992389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
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